Individual
BRANDON GARY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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